Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kozhaya Mallah, MD

Individual provider Internal Medicine Physician · NPI 1376717694

Dr. Kozhaya Mallah, MD is an Internal Medicine in Logan, West Virginia. Qualified in 2003, 23 years ago. Practices with Logan General Hospital LLC, a 27-clinician group and accepts Medicare assignment. Licensed in New Jersey and West Virginia.

Years since qualifying
23
Licensed in
NJ, WV
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 Hospital Dr
Logan, WV 25601-3452
Phone: (304) 831-1602
Fax: (304) 831-1605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 24018 (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA08297600 (NJ)

Record details

NPI number1376717694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2008
Last updated in NPPESOctober 31, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Logan General Hospital Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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